La Clinica De Familia San Miguel

LBN: La Clinica De Familia, Incorporated
La Clinica De Familia San Miguel is an health care organization with primary practice located at 18420 S Highway 28 , La Mesa NM 88044-9605. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. La Clinica De Familia, Incorporated can be contacted via phone (575) 233-3830, or through Medina, Virgil via phone (575) 526-1105.

Contact Information

Primary practice address
18420 S Highway 28 La Mesa NM 88044-9605
Phone: (575) 233-3830
Fax: (575) 233-4542
Website:
Map and Directions
Authorized official contact:
Name: Medina, Virgil
Phone: (575) 526-1105

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X New Mexico

Profile Details

NPI number 1396718631
LBN Legal business name La Clinica De Familia, Incorporated
DBA Doing business as La Clinica De Familia San Miguel
Authorized official Medina, Virgil
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2006
Last updated May 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396718631 NPPES
New Mexico MEDICAID 48215

Popular Providers